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Related Experiment Videos

Menière's disease

G A Ator1

  • 1Department of Otolaryngology, KUMC-KC 66160-7380.

Kansas Medicine : the Journal of the Kansas Medical Society
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

Menière

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Menière's disease is a common cause of dizziness in the United States.
  • Current treatments focus on symptomatic relief and long-term management.

Purpose of the Study:

  • To outline the therapeutic strategies for Menière's disease.
  • To discuss medical and surgical interventions for managing dizziness and related symptoms.

Main Methods:

  • Review of current medical therapies, including salt restriction and diuretics.
  • Evaluation of surgical options for refractory cases: endolymphatic sac surgery, vestibular nerve section, and translabyrinthine nerve section.

Main Results:

  • Medical therapy, particularly prophylactic measures, can prevent or reduce Menière's attacks.

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  • Endolymphatic sac surgery is successful in most patients with moderate to severe symptoms unresponsive to medical treatment.
  • Surgical interventions like vestibular nerve section or translabyrinthine nerve section are options for severe, persistent symptoms or hearing loss.

    • Conclusions:

    • A stepwise approach to Menière's disease management is effective.
    • Medical therapy is the primary treatment, with surgical options reserved for specific patient groups.
    • Surgical outcomes are generally favorable, with low morbidity for endolymphatic sac surgery.